NPI | 1992336713 |
---|---|
Former Name | SHANA L WINDELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71010258A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IN F12191057) |
363LF0000X Nurse Practitioner Family (Licence: IN 28232247C) | |
363LF0000X Nurse Practitioner Family (Licence: IN 28232247A) | |
Enumeration Date | 2020-01-30 |
Last Update Date | 2023-10-30 |